Sanford Westbrook Hospital
920 Bell Ave, Westbrook, MN · Sanford Health · · NPI 1942253547
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Sigmoidoscopy flex decompression 45337 CPT 45337 | not published | not published | $957.30 – $957.30 | 1 |
| Sigmoidoscopy for bleeding CPT 45334 | not published | not published | $1,238.03 – $1,238.03 | 1 |
| Sigmoidoscopy/submucosal injection 45335 CPT 45335 | not published | not published | $957.30 – $957.30 | 1 |
| Sigmoidoscopy w/ablation CPT 45346 | not published | not published | $1,238.03 – $1,238.03 | 1 |
| Sigmoidoscopy w/fb removal 45332 CPT 45332 | not published | not published | $1,238.03 – $1,238.03 | 1 |
| Sigmoidoscopy w/plcmt stent CPT 45347 | not published | not published | $6,250.45 – $6,250.45 | 1 |
| Sigmoidoscopy w/resection CPT 45349 | not published | not published | $2,879.51 – $2,879.51 | 1 |
| Sigmoidoscopy w/tumr remove CPT 45338 | not published | not published | $1,238.03 – $1,238.03 | 1 |
| Sigmoidoscopy w/ultrasound CPT 45341 | not published | not published | $957.30 – $957.30 | 1 |
| Sigmoidoscopy w/us guide bx CPT 45342 | not published | not published | $1,238.03 – $1,238.03 | 1 |
| Sigmoid/rmv tumor/polyp/hot bx for 45333 CPT 45333 | not published | not published | $957.30 – $957.30 | 1 |
| Signal avg ecg w or without ecg 93278 CPT 93278 | not published | not published | $62.37 – $62.37 | 1 |
| Sig w/tndsc balloon dilation CPT 45340 | not published | not published | $1,238.03 – $1,238.03 | 1 |
| Simple cystometrogram 51725 CPT 51725 | not published | not published | $255.37 – $255.37 | 1 |
| Sinus CT scan (with and without contrast) CPT 70488 | $3,016.00 | $3,770.00 | $186.92 – $3,393.00 | 16 |
| Sinus CT scan (with contrast) CPT 70487 | $2,519.20 | $3,149.00 | $186.92 – $2,834.10 | 16 |
| Sinus CT scan (without contrast) CPT 70486 | $2,075.20 | $2,594.00 | $111.66 – $2,334.60 | 16 |
| Sinus/juglr venogram s&i CPT 75860 | not published | not published | $3,304.88 – $3,304.88 | 1 |
| Sinusotomy maxillary sinus 31020 CPT 31020 | not published | not published | $3,405.22 – $3,405.22 | 1 |
| Sinusotomy sinus remove polyps 31032 CPT 31032 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Sinusotomy sphenoid w/wo bx 31050 CPT 31050 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Sinus X-ray (complete) CPT 70220 | $539.20 | $674.00 | $92.45 – $606.60 | 16 |
| Sinus X-ray (limited) CPT 70210 | $356.00 | $445.00 | $92.45 – $400.50 | 16 |
| Sipuleucel-t - su HCPCS Q2043 | not published | not published | $58,743.27 – $58,743.27 | 1 |
| Skin and muscle repair face CPT 15845 | not published | not published | $3,844.02 – $3,844.02 | 1 |
| Skin Biopsy CPT 11102 | $459.20 | $574.00 | $138.97 – $516.60 | 16 |
| Skin full graft 20sq cm less 15200 CPT 15200 | not published | not published | $1,920.69 – $1,920.69 | 1 |
| Skin pedicle flap arms/legs CPT 15572 | not published | not published | $3,844.02 – $3,844.02 | 1 |
| Skin pedicle flap trunk CPT 15570 | not published | not published | $1,920.69 – $1,920.69 | 1 |
| Skull X-ray (1 to 3 views) CPT 70250 | $433.60 | $542.00 | $111.66 – $487.80 | 16 |
| Skull X-ray (complete) CPT 70260 | $639.20 | $799.00 | $111.66 – $719.10 | 16 |
| Sleep study attended CPT 95807 | not published | not published | $557.13 – $557.13 | 1 |
| Sleep Study (Polysomnography) CPT 95810 | $4,452.00 | $5,565.00 | $1,068.26 – $4,500.90 | 16 |
| Sleep study unattended CPT 95806 | not published | not published | $164.28 – $164.28 | 1 |
| Slitting of prepuce CPT 54000 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Slitting of prepuce CPT 54001 | not published | not published | $2,150.94 – $2,150.94 | 1 |
| Slp stdy unatnd w/anal CPT 95801 | not published | not published | $62.37 – $62.37 | 1 |
| Small Bowel Barium X-ray (Follow-Through) CPT 74250 | $865.60 | $1,082.00 | $186.92 – $973.80 | 16 |
| Small bowel endoscopy CPT 44360 | not published | not published | $1,991.84 – $1,991.84 | 1 |
| Small bowel endoscopy CPT 44364 | not published | not published | $1,991.84 – $1,991.84 | 1 |
| Small bowel endoscopy CPT 44366 | not published | not published | $1,991.84 – $1,991.84 | 1 |
| Small bowel endoscopy CPT 44369 | not published | not published | $1,991.84 – $1,991.84 | 1 |
| Small bowel endoscopy CPT 44376 | not published | not published | $1,991.84 – $1,991.84 | 1 |
| Small bowel endoscopy CPT 44378 | not published | not published | $1,991.84 – $1,991.84 | 1 |
| Small bowel endoscopy CPT 44382 | not published | not published | $984.44 – $984.44 | 1 |
| Small bowel endoscopy CPT 44384 | not published | not published | $1,991.84 – $1,991.84 | 1 |
| Small bowel endoscopy >2nd w/remove 44363 CPT 44363 | not published | not published | $1,991.84 – $1,991.84 | 1 |
| Small bowel endoscopy 44365 CPT 44365 | not published | not published | $1,991.84 – $1,991.84 | 1 |
| Small bowel endoscopy/biopsy CPT 44361 | not published | not published | $1,991.84 – $1,991.84 | 1 |
| Small bowel endoscopy/biopsy CPT 44377 | not published | not published | $1,991.84 – $1,991.84 | 1 |
| Small bowel endoscopy br/wa CPT 44380 | not published | not published | $984.44 – $984.44 | 1 |
| Small bowel endoscopy br/wa CPT 44381 | not published | not published | $1,991.84 – $1,991.84 | 1 |
| Small bowel endoscopy/stent 44370 CPT 44370 | not published | not published | $6,250.45 – $6,250.45 | 1 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $96.00 | $120.00 | $29.05 – $108.00 | 16 |
| Smear gram stain CPT 87205 | $64.80 | $81.00 | $19.61 – $72.90 | 16 |
| Smear nasal eosinophil CPT 89190 | $66.40 | $83.00 | $20.09 – $74.70 | 16 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $162.40 | $203.00 | $49.15 – $182.70 | 16 |
| Smear wet mount CPT 87210 | $101.60 | $127.00 | $30.26 – $112.50 | 16 |
| Sodium 24 hour urine CPT 84300 | $81.60 | $102.00 | $9.44 – $35.10 | 16 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $80.00 | $100.00 | $24.21 – $90.00 | 16 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | $80.00 | $100.00 | $18.16 – $67.50 | 16 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | $72.00 | $90.00 | $18.16 – $67.50 | 16 |
| Sodium chloride 3 % ivpb HCPCS J7131 | $5.19 | $6.48 | $1.57 – $5.83 | 16 |
| Sodium serum/plasma/whole blood CPT 84295 | $100.00 | $125.00 | $30.26 – $112.50 | 16 |
| Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution HCPCS J0209 | $95.89 | $119.86 | $29.02 – $107.87 | 16 |
| Somatosensory testing CPT 95927 | not published | not published | $326.96 – $326.96 | 1 |
| Special physics consult CPT 77370 | not published | not published | $139.41 – $139.41 | 1 |
| Special radiation dosimetry CPT 77331 | not published | not published | $139.41 – $139.41 | 1 |
| Special radiation treatment CPT 77470 | not published | not published | $607.39 – $607.39 | 1 |
| Special teletx port plan CPT 77321 | not published | not published | $384.37 – $384.37 | 1 |
| Specimen fat stain CPT 89125 | $121.60 | $152.00 | $36.80 – $136.80 | 16 |
| Speech and Language Evaluation (comprehensive) CPT 92523 | $490.40 | $613.00 | $148.41 – $551.70 | 16 |
| Speech audiometry complete CPT 92556 | not published | not published | $62.37 – $62.37 | 1 |
| Speech evaluation complex CPT 70371 | not published | not published | $253.81 – $253.81 | 1 |
| Speech recep thresh CPT 92555 | not published | not published | $62.37 – $62.37 | 1 |
| Speech Therapy Session (one-on-one) CPT 92507 | $324.00 | $405.00 | $167.75 – $364.50 | 16 |
| Sphenoid sinus surgery CPT 31051 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Sphincteroplasty inc/prolapse adult 46750 CPT 46750 | not published | not published | $2,879.51 – $2,879.51 | 1 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | not published | not published | $727.15 – $727.15 | 1 |
| Spine device implant surgery HCPCS C9757 | not published | not published | $13,510.16 – $13,510.16 | 1 |
| Spine X-ray (single view, one level) CPT 72020 | $393.60 | $492.00 | $92.45 – $442.80 | 16 |
| Spirmtry w/brnchdil inf-2 yr CPT 94012 | not published | not published | $326.96 – $326.96 | 1 |
| Spirometry up to 2 yrs old CPT 94011 | not published | not published | $164.28 – $164.28 | 1 |
| Spleen imaging CPT 78185 | $759.20 | $949.00 | $229.75 – $854.10 | 16 |
| Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 % CPT 15120 | not published | not published | $3,844.02 – $3,844.02 | 1 |
| Srs linear based CPT 77372 | not published | not published | $8,026.71 – $8,026.71 | 1 |
| Srs multisource CPT 77371 | not published | not published | $8,026.71 – $8,026.71 | 1 |
| Staggered spondaic word test CPT 92572 | not published | not published | $164.28 – $164.28 | 1 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $390.40 | $488.00 | $118.14 – $439.20 | 16 |
| Stenger test pure tone CPT 92565 | not published | not published | $62.37 – $62.37 | 1 |
| Stenger test speech CPT 92577 | not published | not published | $557.13 – $557.13 | 1 |
| Stent/athrectomy/fem/pop/unilat 37227 CPT 37227 | not published | not published | $18,854.56 – $18,854.56 | 1 |
| Stent bili dbl pgtl 10fx5cm HCPCS C2617 | $202.40 | $253.00 | $61.25 – $227.70 | 16 |
| Stent iliac/open or perc/uni/init 37221 CPT 37221 | not published | not published | $11,907.60 – $11,907.60 | 1 |
| Stent/tib/peroneal/unilat/initial 37230 CPT 37230 | not published | not published | $18,854.56 – $18,854.56 | 1 |
| Sterile water/saline, 10 ml HCPCS A4216 | $5.19 | $6.48 | $1.57 – $5.83 | 16 |
| Sterile water/saline, 500 ml HCPCS A4217 | $60.56 | $75.70 | $0.67 – $2.48 | 16 |
| St evaluate speech sound production CPT 92522 | $376.80 | $471.00 | $114.03 – $423.90 | 16 |
| Stimulation of spinal cord CPT 63610 | not published | not published | $2,050.41 – $2,050.41 | 1 |
| Stomach Emptying Scan (Nuclear Medicine) CPT 78264 | $1,900.00 | $2,375.00 | $421.92 – $2,137.50 | 16 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.